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Suggest Treatment For Loss Of Appetite Post Tumor Surgery

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Posted on Thu, 16 Oct 2014
Question: My wife had a malignant tumour removed from her cerebellum (posteria fossa mass). She then underwent 12 sessions of whole brain palliative radiotherapy. She has been diagnosed with a metastic adenocarcinoma of unknown primary origin. Other tests could not confirm the primary origin. She has chosen not to have palliative chemotherapy. Since the radiotherapy, her appetite has gone, she cannot eat anything sweet, and she is losing weight. What do you suggest?
doctor
Answered by Dr. Monish De (1 hour later)
Brief Answer:
appetite stimultant

Detailed Answer:
Hi

Since your wife has no appetite, cannot eat anything sweet and losing weight after radiotherapy i will advise her to have an appetite stimultant syrup 2 tsf twice daily half an before food.

It can help her to gain weight.

She needs to consume foods such as eggs, meat, fish, milk and milk products, wheat, rice, along with enough amount of fruits and vegetables

She can also try protein supplement drinks io increase her weight.

Betanoid contains steroid which can cause side effects such as hirsutism, flushing, increased bruising, acne, hyperglycaemia and disturbances of electrolyte balance and is better to avoid.

Discuss with your treating physician regarding the choice of appetite stimultant syrup.

Regards

DR De
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Monish De (17 hours later)
She has lost most of her hair, so hirsutism is not a problem.

As I said, she cannot tolerate anything sweet! The oncologist does not think the radiotherapy is the cause of this. Doctor from hospice seems to think betanoid will help. What appetite stimilant can you suggest?

Fruits are too sweet for her, but she is eating eggs and wheat cereals.
doctor
Answered by Dr. Monish De (9 minutes later)
Brief Answer:
elixir neogadine

Detailed Answer:
Hi

I will advise her to have syrup elixir neogadine.

It is an is appetite stimultant

She can have 30 ml of the syrup twice daily half an hour before food.

If you have no more clarifications then please rate the answer and close the thread.

Regards

DR De



Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Monish De (23 hours later)
Unable to obtain the elixir neogadine here in South XXXXXXX Any other suggestions?
doctor
Answered by Dr. Monish De (26 minutes later)
Brief Answer:
cyproheptadine syrup

Detailed Answer:
Hi

You can also give her cyproheptadine syrup which is sold under brand name Periactin or Peritol which is an appetite stimulant 3 tsf twice daily half an hour before food. You can ask doctor about this or at pharmacy.

The drug can be taken maximum upto 12 weeks.

If you have no more clarifications then please rate the answer and close the thread.

Regards

DR De
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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Suggest Treatment For Loss Of Appetite Post Tumor Surgery

Brief Answer: appetite stimultant Detailed Answer: Hi Since your wife has no appetite, cannot eat anything sweet and losing weight after radiotherapy i will advise her to have an appetite stimultant syrup 2 tsf twice daily half an before food. It can help her to gain weight. She needs to consume foods such as eggs, meat, fish, milk and milk products, wheat, rice, along with enough amount of fruits and vegetables She can also try protein supplement drinks io increase her weight. Betanoid contains steroid which can cause side effects such as hirsutism, flushing, increased bruising, acne, hyperglycaemia and disturbances of electrolyte balance and is better to avoid. Discuss with your treating physician regarding the choice of appetite stimultant syrup. Regards DR De